中国普通外科杂志2025，Vol.34Issue(12)：2696-2701,6.DOI:10.7659/j.issn.1005-6947.250305
病理性穿通支静脉的诊治进展
Advances in diagnosis and treatment of pathologic perforating veins
梁雨萌 1唐明珺 2邹伟璞 3朱越锋4
作者信息
- 1. 贵州省六盘水市第二人民医院 普通外科,贵州 六盘水 553402
- 2. 甘肃中医药大学公共卫生学院 数学与卫生统计学教研室,甘肃 兰州 730000
- 3. 浙江大学医学院附属邵逸夫医院 超声医学科,浙江 杭州 310020
- 4. 浙江大学医学院附属邵逸夫医院 血管外科中心,浙江 杭州 310020
- 折叠
摘要
Abstract
Perforating veins connect the deep and superficial venous systems of the lower extremities and play a crucial role in maintaining unidirectional blood flow from the superficial to the deep veins.Incompetence of perforating vein valves may result in reflux from the deep to the superficial venous system,leading to elevated superficial venous pressure and subsequent pathological changes,including varicose veins,skin pigmentation,dermatitis,and venous ulcers.Accumulating evidence suggests that pathological perforating veins(PPVs)are closely associated with the development and delayed healing of lower extremity venous ulcers and represent an important contributor to postoperative recurrence of varicose veins.However,whether routine concomitant treatment of perforating veins provides additional clinical benefits in patients primarily treated for superficial venous reflux remains controversial.With advances in imaging techniques and minimally invasive therapies,diagnostic accuracy and treatment options for PPVs have expanded substantially.This review summarizes the current understanding of the pathophysiology,anatomical characteristics,diagnostic approaches,and therapeutic advances in PPVs,aiming to provide clearer guidance for clinical decision-making and individualized management.关键词
静脉功能不全/血管外科手术/消融技术/综述Key words
Venous Insufficiency/Vascular Surgical Procedures/Ablation Techniques/Review分类
医药卫生引用本文复制引用
梁雨萌,唐明珺,邹伟璞,朱越锋..病理性穿通支静脉的诊治进展[J].中国普通外科杂志,2025,34(12):2696-2701,6.
